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Vital signs
Neurological, behavioral, and cognitive assessments which include
affect, degree of consciousness, responsiveness, or cognitive
Any indications of listlessness, confusion, apathy, weakness
Pain assessment (position, characteristics, intensity, etc. )
Any actions by the patient that could indicate an attempt to injure
or kill himself/herself
Outcomes of depression testing


Patient’s age and sex
Starting point, duration, regularity, and severity of signs and
symptoms, including sobbing, sleeplessness, or anorexia
Level of activities of day-to-day living (ADLs) performance
Extent of socialization and involvement in activities
All current medications, including any recent adjustments,
especially those known to cause depression, or suicidal
All current diagnoses
Recent or current medical, psychological or interpersonal episodes
connected to grief or loss, such as demise of a family member
Any statements by the individual that could indicate patient wish
or plan to harm or kill himself/herself
Any recent psychiatric consults or treatments

Symptoms of Major Depression
Depressed mood most of the day; pretty much every day
Reduced interest or pleasure in most activities most of
the time
Feelings of dying or committing suicide
Difficulty making decisions
Feelings of helplessness, worthlessness, or hopelessness
Inappropriate feelings of remorse
Psychomotor agitation or retardation not attributable to
other causes
Societal withdrawal, avoidance of social interactions, or
going out
Appetite change
Morning sluggishness and lack of energy that improves
markedly later in the day
Change in capacity to think or focus
Change in activities of daily living (ADLs)
Family history of mood issues
Exhaustion or loss of energy, worse than baseline
Insomnia or hypersomnia nearly every day
Increased complaints of pain
Preoccupation with poor health or physical limits
Weight loss or gain
Geriatric Depression Scale (GDS):
http: //www. stanford. edu/~yesavage/GDS. english. long. html
Cornell Scale for Depression in Dementia (CSDD)
http: //geridoc. net/cornellscale-form2. pdf.

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